Prospects of success in hip operations in severely handicapped children with cerebral palsy
Z Orthop Ihre Grenzgeb, 123 (2):
189--192 (1985)Abstract
Sixty-eight very severely handicapped children with cerebral paresis, incapable of walking unaided, who underwent hip surgery ten years ago and more, were followed up. It was found that surgery had been a moderate success only in those who still had residual function when prone (ability to crawl). As far as the most seriously affected children were concerned the improvement, if there was any, was only in the radiological findings; the tendency to increased development of a scoliotic pelvis was not affected. The results after bone operations (DV osteotomy, hip adjustments, reconstruction of the roof of the acetabulum) are better with regard to X-ray findings, but by no means reliable. It is still debatable whether surgery brought about any improvement in the condition of these patients.